Neuro assessment Flashcards
myotomes C4
shoulder
myotomes C5
shoulder abduction and external rotation; elbow flexion
myotomes C6
wrist extension
myotomes C7
elbow extension and wrist flexion
myotomes C8
thumb extension and finger flexion
myotomes T1
finger abduction
myotomes L2
Hip flexion
Myotomes L3
Knee extension
myotomes L4
Ankle dorsiflexion
myotomes L5
big toe extension
Myotomes S1
ankle plantarflexion
Myotomes L4
bladder and rectum motor supply
upper body nerve test
median nerve
radial nerve
ulna nerve
upper body reflexes
biceps (c5-6)
triceps (c7)
brachialis
lower body reflexes
quad knee jerk - L4
ankle jerk S1
lower body nerve tests
Slump
sciatica - straight leg
upper body tension test
Hoffmans
bibins
lower body tension test
clonus
Caude equina red flags
- Bilateral
- Walking issues
- Bladder changes - urinary retention +/- compromised sensation
- Bowel changes – not feeling when full/empty, loss of control
- Saddle anaesthesia
- Erectile dysfunction
cervical spine red flag 5D 2N
- Vision
- Darting Eye movement
- Dizziness
- Swallowing
- Drop attacks
- Speech
- Nausea
- Facial numbness
Axial spondyloarthropathy red flags
- 20 – 40 year olds
- Significant morning stiffness >30 mins
- Family history of inflamitory pathology
- History of recurrent tendinopathy
- IBS history
non s
non specific red flags
Nonstop pain
Under 18 / over 60
Cancer history
Fever
Osteoporosis
Weight loss
Immunocompromised
Major trauma
No improvement with therapy
Diabetes